Healthcare Provider Details
I. General information
NPI: 1508570664
Provider Name (Legal Business Name): HURTSPEAKS WELLNESS CENTER, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/12/2023
Last Update Date: 01/12/2023
Certification Date: 01/12/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
13402 CHEROKEE ROSE CT
ROSHARON TX
77583-2273
US
IV. Provider business mailing address
3422 BUSINESS CENTER DR STE 106
PEARLAND TX
77584-4159
US
V. Phone/Fax
- Phone: 832-910-7476
- Fax:
- Phone: 832-910-7476
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
ASHLEE
GULLEY
Title or Position: MANAGING PARTNER
Credential: M.ED., LPC
Phone: 832-910-7476